Tüm alıştırma soruları

A client is recovering on the surgical unit 48 hours after a right below-the-knee amputation. During the morning assessment, the client reports a pain level of 6 on a 0-to-10 scale in the absent right foot. The residual limb exhibits mild, non-pitting edema. Which of the following positioning interventions is most appropriate for the nurse to implement?

A nurse is preparing to administer an intravenous (IV) antibiotic piggyback to a client receiving a compatible continuous primary infusion of 0.9% sodium chloride. Place the following steps for setting up the secondary infusion in the correct chronological order.

A client weighing $78\text{ kg}$ is admitted to the progressive care unit with a hypertensive crisis. The healthcare provider prescribes a continuous intravenous infusion of sodium nitroprusside at a rate of $3\text{ mcg/kg/min}$. The medication is supplied as sodium nitroprusside $50\text{ mg}$ mixed in $250\text{ mL}$ of $5\%$ dextrose in water (D5W). At what rate should the nurse set the infusion pump in $\text{mL/hr}$? Round your answer to the nearest tenth.

A community health nurse is conducting a home visit for an older adult client receiving hospice care for terminal prostate cancer. The client is currently unresponsive and has been sleeping for the past 18 hours. The client's partner is visibly anxious and states, 'He never used to sleep this much. I am worried his dementia is suddenly progressing, or maybe this is just what happens when people get old.' Which of the following is the most appropriate response by the nurse?

A client with thyroid cancer is admitted to a private hospital room and receives an oral therapeutic dose of unsealed radioactive iodine (I-131). The nurse is reviewing the safety and environmental protocols for the shift. Which action by the nurse demonstrates the correct management of hazardous materials associated with this therapy?

A nurse discovers that a urinary catheter drainage bag has detached from a client receiving intravesical Bacillus Calmette-Guérin (BCG) therapy for bladder cancer. The fluid containing the live attenuated mycobacteria is actively leaking onto the floor. Arrange the following actions in the correct sequence to safely manage this hazardous biological spill.

A nurse is preparing to provide oral hygiene to an unconscious client. Arrange the following steps of the procedure in the chronological order the nurse should perform them to ensure client safety.

A nurse is caring for a client who is receiving continuous enteral nutrition via a nasogastric tube. The client suddenly begins coughing vigorously, becomes tachypneic, and their oxygen saturation drops to 88% on room air. Arrange the following nursing actions in the correct order of priority to mitigate the risk of further respiratory compromise.

A nurse on an acute psychiatric unit is reviewing the protocol for managing clients who exhibit escalating, aggressive behavior. According to the principle of least restrictive intervention, arrange the following nursing actions in the correct sequence from least restrictive to most restrictive.

A nurse is evaluating the electronic fetal monitor tracing of a client at 41 weeks gestation who is undergoing an induction of labor with an intravenous oxytocin infusion. The tracing reveals a baseline fetal heart rate of 165 bpm with minimal variability. Over the past 20 minutes, recurrent decelerations are observed; these decelerations begin after the peak of the contraction and slowly return to baseline 30 seconds after the contraction ends. The uterine activity panel shows 7 contractions in a 10-minute window, lasting 80 to 90 seconds each, with a resting tone of 25 mm Hg. Which of the following nursing actions are appropriate? Select all that apply.

A pediatric nurse is assessing an 8-month-old infant during a routine well-child visit. Which of the following assessment findings is the highest priority for the nurse to report to the pediatric healthcare provider?

During morning rounds, the nurse assesses an older adult client who underwent a right total hip arthroplasty (posterior approach) the previous day. The client demonstrates acute confusion and requires total assistance with hygiene and mobility. Which interventions are appropriate for the nurse to implement? Select all that apply.

A registered nurse is preparing to initiate a continuous intravenous (IV) regular human insulin infusion for a client admitted with diabetic ketoacidosis (DKA). Arrange the following nursing actions in the correct sequence.

A nurse in the intensive care unit is managing a critically ill client diagnosed with septic shock. The client is currently supported by a continuous intravenous (IV) infusion of norepinephrine via a single peripheral catheter. Recent arterial blood gas results reveal a pH of 7.15 and an $HCO_3^-$ of 14 mEq/L (14 mmol/L). The healthcare provider prescribes an immediate IV bolus of sodium bicarbonate. Which of the following is the most appropriate action by the nurse?

A critically ill client weighing $154\text{ lbs}$ is prescribed a continuous intravenous (IV) infusion of milrinone at $0.55\text{ mcg/kg/min}$ for the management of severe heart failure. The pharmacy supplies a premixed IV bag containing $20\text{ mg}$ of milrinone in $100\text{ mL}$ of $5\%$ dextrose in water ($D_5W$). The client's current heart rate is $118\text{ beats/min}$ and blood pressure is $96/58\text{ mmHg}$. What should the nurse set the infusion pump rate to in $\text{mL/hr}$? Record your answer to the nearest tenth.

A home health nurse is visiting an older adult client who was recently prescribed warfarin for atrial fibrillation. During the assessment, the client states, "I drink about half a bottle of whiskey every evening; it is the only way I can sleep since my spouse passed away." Which action should the nurse take first?

A healthcare provider prescribes 1,000 mL of lactated Ringer's solution to infuse intravenously over 8 hours. The manual intravenous (IV) administration set delivers 15 drops per milliliter (gtt/mL). Which of the following represents the correct drip rate for this infusion? (Round the final answer to the nearest whole number).

A client voluntarily admitted to the behavioral health unit becomes visibly upset after a phone call, throws a plastic cup against the wall, and begins shouting angrily at the nursing staff. To maintain a therapeutic environment and ensure safety, which of the following is the most appropriate initial action by the nurse?

An older adult Roman Catholic client who recently received a terminal prognosis is experiencing severe bone pain and acute spiritual distress. The client is crying and states, "This illness is a punishment from God for my past mistakes. I feel completely abandoned." Which of the following nursing actions are appropriate? Select all that apply.

A nurse is managing a large blood spill on the floor of a client's room after an arterial line accidentally became disconnected. Which of the following actions should the nurse take to safely handle and clean this biohazardous material? Select all that apply.